Child CPR (Ages 1 to Puberty): What Changes

Child CPR (ages 1 to puberty) uses one- or two-handed compressions about 2 inches deep at 100–120 per minute, with rescue breaths because most pediatric arrests are respiratory in origin.

Quick facts
  • Depth: about 2 inches (one-third the chest depth)
  • Single rescuer: 30:2; two rescuers: 15:2
  • Lone rescuer: 2 minutes of CPR before leaving to call 911
  • Use pediatric AED pads when available

Why breaths matter more in children

Most pediatric cardiac arrests follow respiratory failure, so adding rescue breaths restores oxygen the heart desperately needs.

Hand technique

Use one or two hands depending on the child's size. Compress the lower half of the sternum to about one-third the depth of the chest.

AED for children

Use pediatric pads or a pediatric attenuator key if available. If not, use adult pads — defibrillation is preferable to no defibrillation.

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Frequently asked questions

What age is 'child' for CPR?
From 1 year to the onset of puberty. Use adult CPR after puberty.
Can I use an adult AED on a child?
Yes if no pediatric pads are available — place pads so they do not touch and consider front-back placement.
How long do I do CPR before calling 911?
Give 2 minutes of CPR before leaving a child to call if you are alone with no phone.

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